LER Cover Story:
Snake Bites to the Lower Extremity Reported to U.S. Emergency Departments
Background: Thousands of snake bites occur in the U.S. each year. Venomous snake bites can produce serious adverse effects, and even bites from nonvenomous snakes may cause adverse effects. Snake bites are often treated at hospital emergency departments (EDs). The objective of this study was to describe snake bites to the lower extremity treated at US hospital EDs.
By Mathias B. Forrester, BS
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Feature Articles
Connecting instability and ankle osteoarthritis
Not all patients with chronic ankle instability develop ankle osteoarthritis, but evidence suggests the two conditions are related, which in turn suggests that ankle sprain prevention and management could help reduce ankle replacement rates.
By Larry Hand
Compartment syndrome following tibia fracture
Acute compartment syndrome can develop after open or closed tibial fractures, even those that appear to be benign. Early diagnosis of increased compartmental pressure and timely surgical intervention can prevent adverse outcomes including nerve injury and muscle necrosis.
By Langdon A. Hartsock, MD, and William R. Barfield, PhD
Wedge orthoses: A distal slant on knee OA therapy
Most conservative measures to reduce knee adduction moment in patients with knee osteoarthritis involve altering proximal biomechanics, but research suggests that similar kinetic changes and pain relief can be achieved with the use of wedged foot orthoses.
By Emily Delzell
Use of eccentric exercise for prevention and rehab
Recent interest has focused on the use of Nordic hamstring strengthening exercises to prevent hamstring injuries in athletes, but evidence also supports eccentric exercise for managing tendinopathy and for prevention and rehabilitation of anterior cruciate ligament injury.
By Daniel Lorenz, DPT, PT, ATC/L, CSCS
Success of hinged AFOs depends on alignment
Misalignment between the mechanical joint of an articulated AFO and the corresponding anatomical joint can significantly affect the device’s mechanical properties, particularly resistance and stiffness, which can impair AFO effectiveness and negatively affect proximal joints.
By Fan Gao, PhD, and Susan Kapp, MEd, CPO, LPO, FAAOP
Hip rotation in golfers may determine pathology
Golfers demonstrate significant asymmetries between hips with regard to rotational range of motion and rotational velocity, which can contribute to the development of conditions including low back pain, femoroacetabular impingement, and hip labral degeneration.
By Heather Gulgin, PhD, ATC
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A Message From the Publisher
Welcome to Lower Extremity Review or LER as we call it. This long awaited magazine fills the lower extremity information gap for practitioners in the fields of Podiatry, Physical Therapy, O&P Pedorthics, and Orthopedics. With over 20 years experience in multi-disciplinary editorial development and publishing, the collaboration of this incredible team has made this publication possible
Rich Dubin
Publisher and Chief Executive Officer
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